Provider Demographics
NPI:1033992219
Name:ZHENG, JOLENE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOLENE
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 BAKER PL E APT 31
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-3211
Mailing Address - Country:US
Mailing Address - Phone:724-388-3786
Mailing Address - Fax:
Practice Address - Street 1:750 S POTOMAC ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-2198
Practice Address - Country:US
Practice Address - Phone:717-762-1515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS044173122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist